Active NPIIndividual provider

Dr. Austin Port, DMD

Dentist, General Practice in Beachwood, New Jersey

NPI Number1811367022
Practice location
15 Brigantine St, Beachwood, NJ 08722-2900
Fax
—
Last updated
August 8, 2016

Austin Port is a Dentist, General Practice based in Beachwood, NJ. Austin Port practices in Beachwood, NJ and has the professional credentials of DMD. The NPI Number for Austin Port is 1811367022 and holds a License No. 22DI02648300 (NJ). The current practice location address for Austin Port is 15 Brigantine St, Beachwood, NJ 08722-2900 and can be reached out via phone at 732-581-9301.

Provider Profile Details

NPI Number
1811367022
Provider Name
Austin Port
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15 Brigantine St, Beachwood, NJ 08722-2900
Phone Number
732-581-9301
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
September 30, 2015
Last Update Date
August 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Brigantine St
Beachwood, NJ 08722-2900
Zip
08722-2900
Phone Number
732-581-9301
Beachwood, NJ 08722Get directions →

Provider Business Mailing Address Details

Address
15 Brigantine St
Beachwood, NJ 08722-2900
City
Beachwood
State
NJ
Zip
08722-2900
Phone Number
732-581-9301

License Information

License Number
22DI02648300
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Austin Port, DMD?

The NPI number of Dr. Austin Port, DMD is 1811367022. It was assigned on September 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Austin Port, DMD?

Dr. Austin Port, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02648300.

Where does Dr. Austin Port, DMD practice?

The practice location is 15 Brigantine St, Beachwood, NJ 08722-2900. The office can be reached at 732-581-9301 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811367022 directly on the NPPES registry website.

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